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NPI Code Detail

MEDICARE: MS. LUCY ANN MULHERN RN, BSN, WCC

MEDICARE: MS. LUCY ANN MULHERN RN, BSN, WCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseL1-0036351DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1L1-0036351OTHERDELICENSE

General Provider Information

NPI Number : 1932691037
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LUCY ANN MULHERN RN, BSN, WCC
Provider Business Mailing Address
First Line : 14 MATTEI LN
Second Line :
City : NEWARK
State : DE
Zip : 19713-2604
Country : US
Telephone Number : 302-563-8276
Fax Number :
Provider Business Practice Location Address
First Line : 14 MATTEI LN
Second Line :
City : NEWARK
State : DE
Zip : 19713-2604
Country : US
Telephone Number : 302-563-8276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2018
Last Update Date : 06/04/2018

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